Provider Demographics
NPI:1548404908
Name:PATHWAYS TO HEALING
Entity Type:Organization
Organization Name:PATHWAYS TO HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELANGER
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-243-9954
Mailing Address - Street 1:450 N PARK RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6917
Mailing Address - Country:US
Mailing Address - Phone:954-243-9954
Mailing Address - Fax:
Practice Address - Street 1:450 N PARK RD
Practice Address - Street 2:SUITE 401
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6917
Practice Address - Country:US
Practice Address - Phone:954-243-9954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1862171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty